Manejo de enfermería en paciente con diagnóstico de tuberculosis miliar y aplicación del proceso de atención de enfermería

Abstract

Miliary tuberculosis is an extrapulmonary infection, derived from the pulmonary tuberculosis produced by the bacterium Mycobacterium tuberculosis "bacillus of koch", this is developed by certain situations characterized by an environmental, health, individual and social risk. Being badly treated in many cases due to the difficulty of its diagnosis, since it presents clinical manifestations similar to different pathologies, which causes discomfort to reach a specific diagnosis. It does not present a specific organ to which it will affect, since its hematogenous spread is dispersed infecting several organs unspecifically. It is considered a global emergency problem due to the high degree of affectation that this presents in people; Its treatment is effective at the time of making a timely uptake of the disease, as well as a timely diagnosis. The development of this type of tuberculosis can be evidenced in immunosuppressed patients of any age, in the present clinical case it is diagnosed in a 12-year-old adolescent patient presenting immunosuppressed immune system, derived by a caloric protein malnutrition with a weight of 26 kilograms. Case presentation: A 12-year-old patient enters an emergency pediatric observation room with a diagnosis of abdominal pain with prior assessment by a pediatrician, presents pale, algic facies, with semi-humid oral mucous membranes, slightly distended abdomen, painful palpation, at the time he performs 5 diarrheal stools in moderate quantity, thoracic radiography and sputum sample collection for smear test are taken as it presents with phlegm cough for more than a month. Miliary tuberculosis is an extrapulmonary infection, derived from the pulmonary tuberculosis produced by the bacterium Mycobacterium tuberculosis "bacillus of koch", this is developed by certain situations characterized by an environmental, health, individual and social risk. Being badly treated in many cases due to the difficulty of its diagnosis, since it presents clinical manifestations similar to different pathologies, which causes discomfort to reach a specific diagnosis. It does not present a specific organ to which it will affect, since its hematogenous spread is dispersed infecting several organs unspecifically. It is considered a global emergency problem due to the high degree of affectation that this presents in people; Its treatment is effective at the time of making a timely uptake of the disease, as well as a timely diagnosis. The development of this type of tuberculosis can be evidenced in immunosuppressed patients of any age, in the present clinical case it is diagnosed in a 12-year-old adolescent patient presenting immunosuppressed immune system, derived by a caloric protein malnutrition with a weight of 26 kilograms. Case presentation: A 12-year-old patient enters an emergency pediatric observation room with a diagnosis of abdominal pain with prior assessment by a pediatrician, presents pale, algic facies, with semi-humid oral mucous membranes, slightly distended abdomen, painful palpation, at the time he performs 5 diarrheal stools in moderate quantity, thoracic radiography and sputum sample collection for smear test are taken as it presents with phlegm cough for more than a month.